Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEROME TAK NICHOLS, M.D.
ActiveDR. JEROME TAK NICHOLS, M.D. is a Physical Medicine & Rehabilitation healthcare provider located in ROANOKE, Virginia. NPI 1386842763 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · ROANOKE, VA
Registration Details
- NPI Number
- 1386842763
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2007 (19.150231845871 yrs)
- Last Updated
- Apr 13, 2023
- Licenses
-
070145 (GA)TP934 (KY)0101261482 (VA)
Practice Information
- Address
-
2331 FRANKLIN RD SWROANOKE, VA, 240141111Browse VA providers · Browse ZIP 24014
- Phone
- 5405106200
- Fax
- 5408575306
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
- Additional Specialty
- Physical Medicine & Rehabilitation
- Additional Specialty
- Physical Medicine & Rehabilitation
Other Physical Medicine & Rehabilitation Providers in ROANOKE, VA
| Name | Credential | NPI |
|---|---|---|
| DR. DANIEL P MOORE | MD | 1134113335 |
| DR. KENTEN PEY-KUEN WANG | D.O. | 1013998186 |
| DR. TREVAR CHAPMON | M.D. | 1588643829 |
| DR. SUNIL KUMAR JAIN | MD | 1730169707 |
| DR. MURRAY E JOINER JR. | MD | 1477595973 |
| RANDALL KEITH FALLS | M.D. | 1407878846 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.